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tv   GOP Senators Propose Block Grant Health Care Funding Bill  CSPAN  September 13, 2017 8:00pm-8:55pm EDT

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a group of republican senators discusses the health care proposal. senator bernie sanders put forward his medicare for all health care bill. president trump spoke with members of congress at the white house. economic sections against north korea. >> a group of republican senators has come up with their own health care proposal that would end many subsidies and mandates in the affordable care act, and create grants for much of federal health care spending. president trump has endorsed a plan. cassidy, andbill ron johnson unveiled their proposal in a capitol hill press briefing.
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>> binding is the only thing standing between you and single-payer health care. [laughter] >> we will go over a bill that has been in the making for about a month. bill cassidy is going to walk you through the details. rick santorum will tell us how history is on our side, ron johnson will discuss numbers, and we will discuss how this is a good deal for -- the countries as a whole. if you believe repealing and replacing obamacare is a good idea, this is your best and only
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chance to make it happen. every thing else fails, except this approach, which will work if we get behind it. healths a single-payer care system, this is your worst nightmare. bernie. this injured dream of a single-payer health care system people ona -- we need board now to stop what i think is inevitable if we fail, which is single-payer health care for all, which is the end of quality and the end of a sustained federal judge it. there are three choices. part -- prop up obamacare, bernie care, or our bill. that's where he worked at -- that's where ou're. cap -- you're at. count me in for an idea that has
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a patient choice they would never hair -- here on single-payer health care. count on my dutch people in my state making decisions about health care, versus bureaucrats from washington. there's a lot of fight from the republican party when it comes to obamacare. the reason i know that, i spent all of august talking about our failure. very happy with the idea that a republican party, after seven years, promised to repeal and replace it, made an effort, and apparently -- or willing to quit. the question is, is there anything left in washington to them ever?replace is there something in the republican senate, in the white house? i can tell you, there's lots of colleagues dying to have a laptop and health care. there's a lot of colleagues of mine that would like to talk about taking money out of washington, and returning it to their states, closure to patients, in the hands of people
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that you can actually complain to. under obamacare, if you don't like it -- you can complain to me but i don't want obamacare. he canhis approach -- actually complain to a statehouse representative who probably lives in your neighborhood, goes to the same hospital -- you can complain to a governor that you can vote for. under bernie care -- and you --plain to a baseless faceless bureaucrat. there is no innovation. under this approach, 50 states have a chance to have health care, and over time, some will ,igure it out enter than others and those who do badly it copy those who do well. under obamacare, you know better than just bureaucrats or the
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most liberal member of the house or senate. this is a defining for the future of health care and republican party. we refuse to quit. we have been working on a bill that i think you should have been our first reproach to repealing and replace obamacare -- not our last, but it is now our last. four states under obamacare get 40% of the money. york, california, massachusetts, maryland. if that bothers you, this is the chance to do something about it. state and wanta to keep sending money to maryland, new york, massachusetts, and california, vote for bernie's bill. prop up obamacare. if you believe your state should have more money, flexibility, choice -- then vote for our approach. involved in a lot of
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things in the last 20 years. most important thing i believe i will ever be involved in as a member of the united states senate. what awaits our country if we fail. the consolidation of health care in the hands of the federal unlimited,-- unsustainable spending that rex the federal budget. there's two approaches we can take care. we deal with medicaid, a reasonable fashion, more flexibility more control, slowing the growth of medicaid down. nothing, in 2027, medicaid will be over $650 billion in spending -- spending 549 billion today on the military. what me say that again. to do nothing means that we will spend the more -- more next decade on medicaid then we can
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to defend our country. this bill changes that. 40% of the money under obamacare goes to four states. out here spending 10 everyfrom now, 2020, state and its basically the same contributions. -- and the the risk tol is by 2026, to make sure see a contribution from a federal government. most americans believe that there. build levels out in an equity and funding, it allows flexibility that obamacare would never embrace.
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give patients a place in health care -- that they would never happen single-payer health care system. in my view, it's the best and last hope for the republican party to show that we have ideas, and that our ideas are better than our friends on the other side. will fight, liberals like tigers to the bitter end to get what they want. republicann the party who feel like we have not fought as hard as we could, you are right. for those conservatives who feel let down by this debate, you have every reason to be let down. the is my call to republican party, and to all who believe that health care should notloser to the patient, stuck in washington. we need your help.
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the only thing stopping us from having the idea on the floor of the united states senate, is lack of leadership. bill cassidy. >> you may know i worked as a louisiana charity hospital assistant for 25 years. the, that's where you went. poor, that'se where you went. the system once up to serve politicians. hersystem once up to serve -- we are trying to give the patient the power. we will help them wherever she may live.
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some would say, what's wrong with the status quo? there is a thing out there that obamacare only works if you don't. i will use the example of one , alow, who is in louisiana self-employed person. he has a special needs child. year is overer $40,000 with a $5,000 deductible , and pharmaceutical deductible -- about that. yeargoing to pay $50,000 a for this premium -- and the doubles. -- andas a $500,000 home louisiana is considered to be working remarkably well. a self-employed person, wherever he or she may live -- is for them to have affordable health insurance.
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--ave been accused of this they apply to coney and cuts -- the editorial board for new york -- alex had the cutest -- accused us of partisanship. they also say, you haven't read the bill yet. what we do here, we realized the treatment -- of wherever that patient lives. she currently lives in the state represented by democratic senator -- they do far better. lives --wherever she we don't think of blue states are red states in this bill. we think those eligible for assistance should get the same. one example, the distance
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isween what we provide -- indiana will receive 1.3 billion more than 2026. the state represented by democratic senator -- 31.1 billion -- with 1.1 billion, virginia $2.7 billion more in 2026 alone under our planet relative to status quo. this is not a partisan bill. this is a bill about the american patient wherever she lives. in venice -- tim kaine, a senator from virginia -- says he wouldn't accuse us of partisanship, but wish there was a better prospect. i hope there is a hearing -- let's not be disingenuous. from the other side of the aisle so far, there has been no cooperation whatsoever in attempting to address an issue
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of who is paying -- $50,000 a year under the status well. we can do better. --ealing individual mandates and repeal the employer mandate. we get rid of the medical device tax, takes this, and splits this among the states. the way we decide which state gets what is we look at everybody in the nation who earns between 50 and 138% of levell -- federal poverty , take interstate percent of that national population, that is where you begin. in 2021, dollars are allocated depending on what percent you have of the total national population within that income level.
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>> those other richer, a little bit less rich -- that's how we divide the money. beginning in 202022, we put in a risk adjustment, phase it in. in the end and -- we get more per patient, and those that are healthier, a little less. , he had her gruber research article which he published in a journal of medicine. there's no statistically significant effect of the individual mandate in improving enrollment. ok. no statistically significant effect of the individual
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mandate. gets involved, it happens. at our state, we have a new governor who decided to expand and 450,000siana people in 18 months. --the governor is on board it happens. we incentivize governors to enroll. of money you get will depend on those who enroll. but, we are conservatives. we don't think health care could be successful after all. enrollment counts -- finding a paper -- patient who is a v8 benefits is enrolled in the v.a.. person here -- if you extra money for premium support can premium support tickets to where -- to her employer. amendment, and another bill, allow the states to put money into health savings account for the purchaser on insurance.
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i could go on, but our goal is to get patients power. we think this is great. i will now turn it over to steve flex belt, thank you. think you., this is a very important moment. last night i went to my weekly town hall meetings. i have a nurse on the phone who finally,hey said congress gets it. they finally understand what's good for america, and what is best for the state of nevada. i worked in 2012 when obama was for reelection against mitt romney. obamacare had been in place for two years. it from the doesn't win, that makes it tough to reverse. it today, as we know -- and the last couple months, has proven that that has been a
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difficult task. right now, republicans have come up with two plans. one is repeal but not replace, one to replace but not repeal. that's what we had been doing for the last eight months. both failed miserably. finally, we have come up with a for it -- third option, to repeal and replace. i want to tell you this. upon the characters not work for all -- i will give you a couple of examples. --ouple months ago, 14 of 17 of 17 counties in nevada would go there after the first of next year. with the work of mine and the governor's office, we were able to find a single carrier that would work for those 14 months 17 counties. we found one carrier, which means there's no competition, no choices. you know that that's only going to increase cost and those 14 or 17 counties.
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another example of how this doesn't work for all, we in the state of nevada pay the federal --ernment over $18 million by individuals about 80,000 of them, because they can't afford the product of the government tells them they have to buy. are paying the fine. most of them make less than $50,000 a year. over 80% of them make less than 50,000. the least fortunate have to pay the fine because they can't afford to pay the states. the government says they have to. obamacare does not work for all that. i had an interview with nevada newsmakers. with senator reid couple years ago -- senator reid said the single-payer system goal was that the obamacare -- call was
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to the coming single-payer system. seven years ago, we set up a system, the purpose of it was to get a single-payer system, noting the majority leader of the senate at that time. think about that. that was the goal, was put together a piece of legislation that was supposed to fail. that's working out. i don't think americans deserve this, and i don't think nevadans to serve it also. so we need to find a way forward. we figure that out for -- this plan is the way forward. it is the most reliable, workable solution to achieve our health care reforms. returns powers to the states, provides open flexibility to governors and legislators, regardless of whether they expanded medicaid or not. nevadahis proposal -- receives more funding than we currently do under obamacare. this gives nevada more money to cover health care's gush --
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health care cost as it sees fit. this is the way forward, how we will move not only health care forward, the economy forward, by having a health care plan that works for everyone. with that, don johnson. >> thank you. thankst of all, i want to bill cassidy -- i want to think bill for all of his work, mr. graham, rick santorum, and everyone else. they really did with senator graham's said, our last chance of repealing what i think has done a lot of harm to a lot of americans.
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obamacare is unsustainable. had 100,000 wisconsinites to pay the obamacare penalty, many of them make less than $62,000 a year. the average premium increase in premiums- wisconsin's have by and large doubled because of the artificial nature , the faulty at -- architecture of obamacare. in many cases, premiums had tripled. i had appreciated about president clinton -- the craziest thing in the world, he was talking about the forgotten men and women. sometimes working 60 hours a
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-- i would say sometimes try one coverage cut in half. they can't afford obamacare. simply the truth. --se forgotten men and women is person wrote to me, they clearly had to cash in their 401(k), sell their house. debt or payback for subsidies they got under obamacare because they make close to $60,000 a week. -- a year, sorry. those forgotten men and women of obamacare are forgotten by bureaucrats in dixie. they won't be forgotten by governors and by state legislatures. but hello johnson's husband hopefully those
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he isms will come down -- 5 -- this is a far more fair process. let me conclude by pointing out what senator graham also said. an quite good enough. this doesn't do enough -- this is our last shot. couple manufacturing background grand -- to johnson for the
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improvement. go,e still got a ways to we've got that initiated. this is far better than obamacare, that is leaving behind those forgotten men and women. we can't forget those people. myant to commend all of colleagues, governor walker, for showing great leadership, rounding up the governors -- to get us good show support next week. i will turn you over to rick santorum. >> thank you. felix and like i've been here, but it's been 10 years at the united -- incitement the united states senator. i'm here because i was watching this process, and someone sitting home on the obamacare exchange, paying over $30,000 in premiums a year, over $40,000 -- because as most of you know -- this was affecting our family
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personally. i was watching what was going on in washington, seeing what i saw was a frustration that i think most americans seem, the dysfunction of marketing anything done. i learned from the experience 20 years ago that when reforming entitlement, the best way to do that, specifically an entitlement that shouldn't be at the federal level, but at the state level. -- governors important ideas you have them provide some leadership. past several months, more intensively over the past two months, we have been working with governors. as ron said, governor walker has been incredible. really providing tremendous putership, helping to together this package we see here today. other governors and helpful -- for brent, is a hutchinson, doug
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to say, all of them tremendously contributed to this process. the real credit goes to lindsey graham, until cassie, who had been working day and night on this bill, and dean and ron who also works -- pull this thing together. this is -- as they said, not only the last choice, but the best choice. america does the right thing after it tries everything else first. that's where we are here. we tried everything else first. this is actually the best idea, an idea that will work because it is proven to. it's proven because back in 1996, we passed the only reform of a major entitlement in the history of this country. that was welfare. defend children which i was heavily involved in. the reason i came up with this idea, it's the same principle, that is coming at the money out
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of washington, give them flexibility to design a program, and let them treat the population that the money is designated for in a way that meets the needs of the people sitting across the table from them. not, as lindsay said, from bureaucracy. it worked in 1996, and we got bipartisan support. i understand, that was a different era. in atisanship is not current lexicon of washington dc. but, the idea of compromise and open should be. that's what this bill does. it doesn't repeal everything for say,care -- they could well, everything isn't repeal. by 1996, we didn't repeal everything and wealth care. -- welfare. we spent more money initially that what was being spent on welfare. that's not the case here, but we spend more money. we were charged more money for quite some time. there were a lot of conservatives who were against welfare reform when we passed it .
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they spoke out against it because it wasn't perfect, it wasn't a good compromise. ,he welfare turned out to be because it is been the most successful reform of a program in history, it has also been great for the american budget. anybody know many times this block grant established in 1996 has been increased since 1996? never. ever hear a governor come to washington and complain about not having enough money for their welfare program? no you don't. why? we gave them the money to design a program that works for them. that's what this is. halfnors -- mayhem and about how much money is in this, but we give them a combination of money and flexibility -- for them to design something that works best for them, it will save money, get better health care for people in the states, just like we did with welfare, we will get this problem out of washington, d.c., and have debate at the local level where it belongs. this is a tremendous opportunity to do something transformational
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. i know it may appear last-minute, well, it is last-minute. [laughter] mr. santorum: but it is the right approach at the right time. becausereform worked, we were able to balance the interest of making sure that we give governors enough money and enough flexibility. urists ithe paris -- p is a lot of money and we keep the taxes in play, but we give the governor's flexibility and we end the hope of single-payer health care, take that money back from the states after they have had a for 10 years -- no chance. we will have a fundamentally, the biggest reform we have seen in my lifetime in washington dc, if this bill passes. for anybody that says we are getting power out of washington, to not enthusiastically embrace this coming of the question if they mean what they say. because that is exactly with this bill does.
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you said there has been a lack of leadership, can you talk specifically what you are talking about? at this point -- we had a good meeting with mitch. he said ok 50 votes. we have had this thing for about a week. i am asking mitch to help me get a score from cbo. sen. graham: make them work overtime. bernie sanders will not tell you how much it will cost and how much you will pay for it. we will cut you how much this will cause, $1.2 trillion and we will leave taxes on the wealthy in place, some things that the conservatives do not like him including me. but we took the taxes in obamacare and a left them in place, but block granted the money so that poor states could level it out. unlike bernie, i can tell you how we pay for it.
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i if you are a republican other disappointed in our efforts for repeal and replace obamacare, help us. talked to the vice president yesterday, mike pence has been awesome. i do not have a statement. mr. president come help us. the president said come if you can get 20 governors, help us get 20 governors. the idea that the republican toty has done its best repeal and replace obamacare is a joke. the idea that we can do this by ourselves is unreasonable. we have given a pathway forward that is fair, that fundamentally transforms medicine in the country, gives patients stronger voice, repeals and replaces obamacare forever, and everybody is telling us, give us 50 votes and we will help you. here is my challenge to the republican leadership.
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act like this matters, because it does. i am not ready to move on. are you ready to move on? on not. if this bill dies it is because the democrats say no, is the only acceptable outcome to meet. i do not wanted to die, because we are tired of dealing with health care. i am all in for the agenda. pick up the phone. call governors. get up to 20. tell them it matters to you. that you weren't kidding about repealing and replacing obamacare, you message. mr. president come help us. because we are trying to help you. >> can you talk about the importance of governors getting behind this, do you or can you say that your governor support this? yet. it is a work in progress. sen. graham: a work in progress. >> i have a democratic governor. my concern is the patience of louisiana.
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frankly the governors that when, like a virginia -- >> even though feel at the numbers for virginia, ask general -- ask governor mcauliffe why he would not. there could be partisanship, but it will not be from our side, it will be from the other. sen. graham: 18 republican governors, we will get there. we need a little help. we have about 14 or 15 in the bank. a few phone calls from the president and vice president, you get the 20 pretty quickly. senator mcconnell's support of the the idea -- a supportive of the idea. we will get a cto score. we have plenty of time, i do not know what we will do between now and september 30. how about this? this is something that matters to the american people. how about this idea, do not quit. keep fighting until the very last tick of the clock. >> when it comes to different
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states, obviously wisconsin and others will get equity in terms of the distribution of obamacare dollars. for example, junior senators, senator baldwin should be in support of this because it benefits wisconsin. , missourir mccaskill would highly benefit from this. sen. johnson: i think senator cassidy and it senator graham are saying let's make it equal and there should be pressure on democratic senators to do right by their states, starting with sen. baldwin: or it -- sen. baldwin. >> the committee you sit on is working on a bipartisan solution to stabilize the market. are you giving up a regular order and the bipartisan idea for the market? >> the reduction payments are not included here, the parliamentarian rule, the reduction payments cannot be included in a reconciliation bill. what we are doing is not compete
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with that that is going to health, it complements that. yes? >> one of the criticisms of this effort has been processed. if you are successful here with this bill and it passes within the next 17 days, is that a process you guys think is appropriate for something so big? >> i will let my colleagues comment. you play with the hand that is built you. sen. cassidy: would we have liked it to be the first option as opposed to the last, absolutely. by the heart and soul of what we are doing was included in cassidy collins. between susan and i, we went to mayemocratic senators, and be, maybe 11, but all of them said they could not collaborate. it is disingenuous to suggest that if we had all the hearings it would make a difference. behind closed doors, great ideas. yes there are people being hurt in my stigma that we can help you for political reasons.
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of course i like a different process, but you play with the cards you are dealt. >> senator. first off, a big chunk of the bill is the medicaid block grant, per cap a -- the first block grant. the has been out there for a long time. it has been voted on. nothing new. mr. santorum: the second is a fairly simple concept. not very complicated. taking all of the obamacare spending and getting rid of it, get rid of the tax credits, the reduction payments, and medicaid expansion dollars. it ends at the end of 2019 under this bill. then we do a block grant. it is not complicated. you say we need hearings, but the reality is it is a simple concept that has been a long -- has been around for a long time. me thinks i do protect too much with the knowledge in this bill. in the party come out
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strongly in what would reduce -- [indiscernible] >> it has not changed. in fact, i am doing exactly what i said i would do and that is look at the governor of our state, you are correct that we are a medicaid expansion state. we actually get a 30% increase in health care spending in the state of nevada with this piece of legislation. so if our governor and legislature like the program that we currently have, not only can they keep it, they can expand it. sen. heller: if that is with ages to do. so -- if that is what they choose to do. so we're telling the states, do what is best for your constituency. this is a bigger and better product. it is like apple coming out with the iphone 10. if you do not want to buy it, keep your iphone 7. but there is a bigger you better product out there if your governor and legislature want to put the package together. if you like the iphone 7, if you
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like the medicaid program you have, keep it. we are not dictating to the state what they can do. we are giving our governor and legislature the opportunity to keep what they have, and if they choose they can expand it, or take a look at other products out there and move in that direction. >> he made a very important point. the second block grant that would have been going to refundable tax credits is now blocking granted back to the states, over a 10 year. period. you can take 15% of that to help with traditional medicaid. the bottom line is we're making traditional medicaid sustainable. sen. graham: somebody needs to do that. and we are putting money back into the hands of states that they would never see and basically they can design systems that work for them. if you want to repair obamacare, you can. but you do not have to. if you want to do something new and novel, you can. as for the process, we passed obamacare on new year's -- on
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christmas eve. i remember it well. i think we can do a hearing on this bill. i am asking senator hatch to give us time to explain the built the finance committee. we can go right back to the floor and continue where we left off with the voting. we have time to bring this up before september 30. all we need is leadership. i am urging the white house to get on the phone and call governors. i am urging the white house to urge the senate leadership to reengage. i am asking mitch mcconnell to make time for this bill and in this debate and help me get 50 votes. i am telling the republican party that we have not tried everything. as a matter of fact, the best idea has not been tried. i want to make sure that when we leave health care, if we do, and we fail it is because democrats said no to a transformational idea. i like new york, california, maryland and massachusetts.
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they are wonderful state and fine people. i do not like them so much as to give them twice what everybody else gets. >> could you talk about how the bill deals with people with pre-existing conditions. with the state be able to do things differently? how does it work? >> we run the program through chip. through chip if you will. same kind of blog great approach that ship originally was. the state will get a certain amount of money for those below the poverty level. president trump has emphasized his wish to take care of those with pre-existing conditions. so we will continue right now the um, statement that you need to be both provide insurance. sen. cassidy: part of the problem that goes with that is the risk pool becomes concentrated, so we have incentives and mechanisms whereby the state can expand the risk pool and instead of the
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original market how it currently is, it rather becomes a broader risk pool including the younger and healthier. a state can do automatic enrollment. for all those healthy folks that are young would be included. the state would give the young person a premium sufficient for annual cost. now you have included younger people and automatically lowers the cost for those that are older and sicker, those with pre-existing. our blue cross louisiana has told us under such a mechanism we would reduce premiums by as much as 20% in louisiana. so there are a lot of options on how to address the pre-existing editions. >> i will just, because bill gave a great answer, but i am not sure he was specifically answering the question so you would understand. no offense. he gave a complicated answer. mr. santorum: he answered your question but i am not sure he communicated that. the answer is, title i that says you cannot discriminate against pre-existing conditions, that has not changed in this bill,
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nor has the guaranty issue changed. those two have not. >> thank you very much. [laughter] >> what about abortion funding? >> if we go through the chip program, protections are maintained. yes. ok. >> what title i changes are made in the bill? i tried to do something similar to the cruz amendment? rick came to me and said we ought to do a block grant. he said, go big. this is what we did in 1996. i thought, that is appealing. we started coming up with the idea of parity and bill cassidy, above all others, has spent hours upon hours working with rick about the minutia to make sure that you help sick people. we are trying to give as many approaches to helping sick people as there are out there. under obamacare, the innovation is almost zero.
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under our block grant approach the innovation is pretty wide. but we do not, there are guardrails, we are trying to get more flexibility for title i. i will let bill talk to you about what we do. thend as a complement, staff has put in more hours than i have. has the otherand staffs. amendment.wo cruz one allowing the state to put money into health insurance accounts. the second one will also have a flexibility in their. am not sure is going to be a lot about that amendment, so we have another set of language we are including that we think will hopefully pass. it may not. we have to recognize that. by putting it through the chip program we recognize that the secretary had great ability to provide waivers. and no governor has ever
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complained, that i know of, about the chip program being too restrictive on what he or she may both -- may be able to do. we think that will give flexibility. the actual value, including the chip program, is less than that required of the medicaid expansion under obamacare. i never heard a governor complained about the value of chip. so we think with existing legislation, we kind of end up where we need to be. >> i have had to listen to this crap too much, he is really smart and i'm ready to vote. [laughter] thoseo not think anybody, who have been covering this, nobody fought harder to bring down the artificial increase because of title i in obamacare. what you are finding with the possibility of the state, the block grant program, for example main initiated guaranteed issue, did not repeal it to deal with the invisible high-risk pool. waiting for the waiver, hopefully getting that quickly. by grabbingis bill,
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the flex ability and funding, would give states the ability to do those very innovative, reassurance types programs like the high risk pools that will bring down the premiums. those that fought with me to lower the premiums, i think this bill will do exactly that. i want to support that. one last point. i'm chairman of homeland security, if the finance committee or health committee will not hold a hearing, i will hold a hearing on this prior to september 30. >> i just want to supplement what bill had to say on what possibility is in the bill. that flexibility is in the bill. there is language that will provide possibility for the money in the block grant. so it will be tied to the bloc grant and the money in the block grant and will provide some flexibility through the waiver process, for governors to be a but again the waivers on certain elements of title i of obamacare. [indiscernible]
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>> obviously you are upset about the -- going up. how much is it going to go down with your bill? >> we begin to lower the growth rates of medicaid closer to medical inflation. what is that? [indiscernible] >> ok. bottom line, medicaid is growing faster than medical inflation in general to the point where a crowd out the federal budget. so if you're in a category of people where we lowered the inflation rate, the police is the flexibility that we grant the governors allows them to get a better result and begin to bend the cost curve. sen. graham: this is unsustainable. medicare is even worse. by 2038, all the money that you spend in taxes goes to pay for health care and there will be no money for anything else. slow, i thinkery
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balanced approach to allow states to prepare for an inflation rate that is more sustainable. nobody gets cut, the inflation rate for populations against the think we givei time and really take 50% from the second block grant to help with traditional medicaid. so the guy that everybody was looking to on vicra. dean was the guy. where will he go? what will he be able to tolerate politically? dean did something that i wish every senator on our side would do. instead of being worried about how this looks politically, he started shopping around for better ideas. and when we approached him with the block grant approach and showed him that money will be coming back to his estate, that would have gone to california, maryland in a massachusetts,
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that your state will have more flexibility, you can get better outcomes and people will be listened to. and they will never be listened to under obamacare, he signed on. the reason he signed on, it turned out to be good for nevada. i will tell you this, i think dean and ron of the four of us here,r, really -- up e really believe we have to get the fiscal house in order. if you take health care off of the table it can never be reformed and our best days are off the table. bernie sanders will propose medicare for all. he will not tell you what it costs, and he will not tell you how he will pay for it. medicare and medicaid by 2042 alone are consumed -- will consume the entire revenue taxes to be collected in the future. what bernie is doing is a disservice to our country because it will make us grieve. what we are doing is getting money closer to where the patient lives, in the hands of
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the people that you can complain to if you do not like the outcome. this is truly transformational. >> one more point, a counterweight to what the democrat in bernie sanders will do, they will make the argument that every american should -- >> they are right. >> was does this say about -- this plan says to the american people that we value input by people. that we believe the government closest to the person is the best form of government. and we believe health care closer to where you live is better than health care managed by somebody will never meet, who is not elected. this is a debate worthy of our state senate. i think what bernie is doing is going to destroy quality over time. it will make it unsustainable for future generations. and we will become greece. what we are trying to do is be
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generous with money, but insist that people have the innovation that they will never have to deliver better health care and even chilly control costs -- and eventually control costs. there is my value. my value is to leave behind when i'm gone better health care that your grandkids can afford. give you somebody that you know who is in charge that will listen to you, because you voted for them. that is what i value. >> quick point on siegel care systems. if you want to look at a single-payer bureaucratic health care system looks like, go to the a system. see how good we have found the system to be. that is the path bernie sanders is leading us down. sen. johnson: in terms of medicaid, here are the rough numbers. on the senate plan, largely maintained in terms of court medicaid, we were saying about $12 billion, spending close to
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3000, so we are just barely beginning to restrict the growth rate of a completely unsustainable entitlement. and from my standpoint, in wisconsin where we did not expand, people on medicaid and the disabled, elderly and children, they were concerned on what medicaid expansion would do when threatening court medicaid. and medicaid expansion was directed toward working age, childless, able-bodied adult. and when i spoke with people with cerebral palsy, for example, there, was, those people should not get medicaid. i think they are right. medicaid expansion with obamacare is putting people at risk for medicaid. >> senator, you are talking about how the white house needs to get involved and start making calls and an effort. with all due respect, he was unable to move the needle on health care before. so what is different now?
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sen. graham: he delivered in the house. it was the effort of president trump that got the house over. one phone call i think, by the president, will get us more than a handful of governors. we have about 14-15 already. when the president calls you, as a governor, asking you to help him give you more money and power most people will say yes. and about value, bernie cannot tell you what the bill cost and how he will pay for it. we can. we value being honest. we will tell you exactly what we will spend and how we will pay for it. the president is just not somebody, he is the most powerful person in the country and he is the head of our party, so i really believe the president could spend time making phone calls the governors, telling them how much better they would do and how much more control they will have and how much better their states will do that we can find a people quickly. we will end with this. today is a monumental day for
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the american people. you have two different approaches on how to deliver health care in the future, the burning model, and our model. model and our model. i am so glad bernie sanders chose today, because he is a good man. and in his heart he believes the only way to be fair is to have the federal government decide health care for everybody, no matter what it costs. here is what we say. the best way to be fair is to make sure that the people and the country get basically the same contribution, no matter where you live. and the people in your local community have control over the outcomes, so that you will have a voice if you do not like their decisions. to my republican colleagues, do not let the health care debate died. do not leave the field with your tail between your legs, keep fighting. two or my republican center -- to my republican senator leadership. help us.
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thank you all. [captioning performed by the national captioning institute, which is responsible for its caption content and accuracy. visit] ♪ announcer: c-span's washington journal, live every day with news and policy issues that impact you. coming up on thursday morning, a bus and ae new c-span preview of the upcoming 50 state capitals tour. then that patterson of the national governors association talks about top issues facing governors. be sure to watch washington journal, live at 7 p.m. eastern on thursday morning. join the discussion.


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